Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pratyusha Nistala, PT

Individual provider Pediatric Rehabilitation Medicine Physician · NPI 1902307184

Pratyusha Nistala, PT is a Pediatric Rehabilitation Medicine Physician in New York, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

227 W 29th St Rm 3R
New York, NY 10001-5574
Phone: (212) 736-8900
Fax: (212) 736-8158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 040300-1 (NY)

Record details

NPI number1902307184
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 23, 2018
Last updated in NPPESJune 16, 2018

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